Becker's Healthcare August 14, 2025
The coming year is expected to be an even more “intense and disruptive” period for Medicare Advantage, as rising utilization, pharmacy costs and shifting market dynamics put new pressure on plans, while also creating opportunities for provider-sponsored models.
Becker’s connected with Don Antonucci, CEO of Providence Health Plan, to discuss how the organization is thinking about benefits, market strategy and deeper provider integration for its 490,000 members, including 80,000 MA enrollees.
Where is MA utilization pressure coming from?
“We’re seeing the same national trends, where there’s a significant uptick in utilization of benefits and an increase in pharmacy benefit spend as well. GLP-1s are definitely part of the story. Because we are a provider-sponsored plan, we noted a lot of...
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